Mexico faces criticism over swine flu response

A portrait is emerging of a slow and confused response by Mexico to the gathering swine flu epidemic. And that could mean the world is flying blind into a global health storm.

Despite an annual budget of more than $5 billion, Mexico's health secretary said Monday that his agency hasn't had the resources to visit the families of the dead. That means doctors haven't begun treatment for the population most exposed to swine flu, and most apt to spread it.

It also means medical sleuths don't know how the victims were infected — key to understanding how the epidemic began and how it can be contained.

Foreign health officials were hesitant Monday to speak critically about Mexico's response, saying they want to wait until more details emerge before passing judgment. But already, Mexicans were questioning the government's image of a country that has the crisis under control.

"Nobody believes the government anymore," said Edgar Rocha, a 28-year-old office messenger. He said the lack of information is sowing distrust: "You haven't seen a single interview with the sick!"

The political consequences could be serious. China was heavily criticized during the outbreak of SARS for failing to release details about the disease, feeding rumors and fear. And Mexico's failed response to a catastrophic 1985 earthquake is largely credited with the demise of the party that had ruled the country since the 1920s.

"That is foremost in the minds of Mexican policymakers now," said George Grayson at the College of William & Mary in Virginia. "They're thinking, 'We don't want another '85.'"

Indeed, Health Secretary Jose Angel Cordova was defensive at a news conference Monday as he was peppered with questions about why Mexico took so long to identify the outbreak, attempt to contain its spread and provide information.

"We never had this kind of epidemic in the world," he said. "This is the first time we have this kind of virus."

It remained unclear where and how the epidemic began, how it has spread, who it has killed or how fast it is growing. And the government has yet to take some basic steps critical to containing any outbreak, such as quick treatment of people who had contact with the victims.

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